| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,558 |
4,750 |
$378K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,179 |
1,055 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228 |
153 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
292 |
279 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
278 |
275 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
124 |
124 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
157 |
156 |
$2K |
| 96161 |
|
31 |
31 |
$1K |
| 90670 |
|
67 |
67 |
$839.11 |
| 90723 |
|
25 |
25 |
$610.29 |
| 90680 |
|
12 |
12 |
$381.55 |
| 90474 |
|
12 |
12 |
$381.55 |
| 90647 |
|
26 |
26 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |